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印度尼西亚日惹医护人员对结核病的认知与态度。

Knowledge and attitudes towards TB among healthcare workers in Yogyakarta, Indonesia.

作者信息

Main S, Dwihardiani B, Hidayat A, Khodijah S, Greig J, Chan G, Parry A E, Nababan B, Billy I, du Cros P, Triasih R

机构信息

Tuberculosis Elimination and Implementation Science Working Group, Burnet Institute, Melbourne, VIC, Australia.

National Centre for Epidemiology and Population Health, Australian National University, Canberra, ACT, Australia.

出版信息

Public Health Action. 2022 Sep 21;12(3):133-140. doi: 10.5588/pha.22.0017.

Abstract

SETTING

Healthcare workers (HCWs) are at an increased risk of TB worldwide. Individual knowledge and attitudes may influence HCW behaviour, and subsequently, TB risk. Indonesia has the second highest case-load globally.

OBJECTIVE

To measure TB knowledge and attitudes among a subsection of HCWs in Yogyakarta, Indonesia, and to explore factors associated with knowledge.

DESIGN

A cross-sectional study using an online survey targeting all HCW staff was conducted among HCWs from four pre-selected healthcare facilities in Yogyakarta. Descriptive analysis and a multivariable linear regression were undertaken.

RESULTS

Of 792 HCWs, 290 (37%) completed the survey; 64% ( = 185) were medical staff, 33% ( = 95) reported previously being tested for active TB and 8% ( = 24) for latent TB. The mean knowledge score was 7.2/11 (SD 1.5): this was higher among medical staff and those with university education (average score increase: 0.53, 95% CI 0.15 to 0.90; and 0.38, 95% CI 0.01 to 0.74, respectively). Participants agreed that free access to TB screening (93%) and treatment (93%) should be available, and 57% of medical and 77% of non-medical staff would take preventive therapy if eligible.

CONCLUSION

Participants had practical understanding of TB; however, gaps were identified in knowledge about TB disease progression and prevention. Prevention programmes were viewed positively. We suggest further TB education and engagement programmes for HCWs.

摘要

背景

在全球范围内,医护人员感染结核病的风险有所增加。个人的知识和态度可能会影响医护人员的行为,进而影响结核病风险。印度尼西亚的结核病病例数在全球排名第二。

目的

测量印度尼西亚日惹市部分医护人员的结核病知识和态度,并探讨与知识相关的因素。

设计

采用在线调查进行横断面研究,目标人群为日惹市四个预先选定的医疗机构的所有医护人员。进行了描述性分析和多变量线性回归分析。

结果

在792名医护人员中,290人(37%)完成了调查;64%(n = 185)为医务人员,33%(n = 95)报告曾接受过活动性结核病检测,8%(n = 24)接受过潜伏性结核病检测。知识得分的平均值为7.2/11(标准差1.5):医务人员和受过大学教育的人员得分更高(平均得分增加:分别为0.53,95%可信区间0.15至0.90;以及0.38,95%可信区间0.01至0.74)。参与者一致认为应提供免费结核病筛查(93%)和治疗(93%),57%的医务人员和77%的非医务人员符合条件时会接受预防性治疗。

结论

参与者对结核病有实际了解;然而,在结核病疾病进展和预防知识方面存在差距。预防项目得到了积极评价。我们建议为医护人员开展进一步的结核病教育和参与项目。

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